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WorksheetsMQ1: Assessment of the Chest & Lungs
Total questions: 20
Worksheet time: 12mins
The clavicles extend from the acromion of the scapula to the part of the sternum termed the:
manubrium
angle
xiphoid process
body
A bony ridge located at the point where the manubrium articulates with the body of the sternum is termed the sternal:
notch
angle
space
prominens
The spinous process termed the vertebra prominens is in which cervical vertebra?
fifth
sixth
eighth
seventh
The apex of each lung is located at the:
level of the diaphragm
left oblique fissure
area slightly above the clavicle
level of the sixth rib
The thin double-layered serous membrane that lines the chest cavity is termed:
thoracic pleura
visceral pleura
pulmonary pleura
parietal pleura
The lining of the trachea and bronchi, which serves to remove dust, foreign bodies, and bacteria, is termed the:
cilia
bronchioles
alveolar sac
alveolar duct
Under normal circumstances, the strongest stimulus in a human being to breathe is:
hypoxemia
hypercapnia
pH changes
hypocapnia
While assessing an adult client, the client tells the nurse that she “has had difficulty catching her breath since yesterday.” The nurse should assess the client further for signs and symptoms of:
infection
trauma to the chest
cardiac disease
emphysema
An adult client visits the clinic and tells the nurse that he has been “spitting up rust-colored sputum.” The nurse should refer the client to the physician for possible:
pulmonary edema
asthma
bronchitis
tuberculosis
The nurse is planning a presentation to a group of high school students on the topic of lung cancer. Which of the following should the nurse plan to include in the presentation?
Studies have indicated that there is a genetic component in the development of lung cancer
There is a higher incidence of lung cancer in women than men in the United States.
Lung cancer is the third leading cause of death in the United States
Compared with whites in the United States, African-Americans have a lower incidence of lung cancer
While assessing an adult client, the nurse observes decreased chest expansion at the bases of the client’s lungs. The nurse should refer the client to a physician for possible:
atelectasis
pneumonia
chronic obstructive pulmonary disease
chest trauma
The nurse is planning to percuss the chest of an adult male client for diaphragmatic excursion. The nurse should begin the assessment by:
asking the client to exhale forcefully and hold his breath
percussing downward until the tone changes to resonance
percussing upward from the base of the lungs
asking the client to take a deep breath and hold it
The nurse is preparing to auscultate the posterior thorax of an adult female client. The nurse should:
place the bell of the stethoscope firmly on the posterior chest wall
auscultate from the base of the lungs to the apices
ask the client to breathe deeply through her mouth
ask the client to breathe normally through her nose
While assessing the thoracic area of an adult client, the nurse plans to auscultate for voice sounds. To assess bronchophony, the nurse should ask the client to:
repeat the phrase “ninety-nine.”
repeat the letter “E.”
whisper the phrase “one-two-three.”
repeat the letter “A.”
The nurse assesses an adult client’s thoracic area and observes a markedly sunken sternum and adjacent cartilages. The nurse should document the client’s:
pectus thorax
pectus diaphragm
pectus excavatum
pectus carinatum
The nurse assesses an adult client and observes that the client’s breathing pattern is very labored and noisy, with occasional coughing. The nurse should refer the client to a physician for possible:
chronic bronchitis
congestive heart failure
renal failure
atelectasis
While assessing an adult client’s lungs during the postoperative period, the nurse detects coarse crackles. The nurse should refer the client to a physician for possible:
asthma
bronchitis
pleuritis
pneumonia
While assessing an adult client’s lungs during the postoperative period, the nurse detects coarse crackles. The nurse should refer the client to a physician for possible:
pleuritis
bronchitis
chronic emphysema
asthma
The nurse has assessed the respiratory pattern of an adult client. The nurse determines that the client is exhibiting Kussmaul’s respirations with hyperventilation. The nurse should contact the client’s physician because this type of respiratory pattern usually indicate:
drug overdose
central nervous system injury
diabetic ketoacidosis
congestive heart failure
Described as a crackling sensation:
crepitus
fremitus
bruit
pulsations
